Individual
AUSTEN FAGERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
640 FLORMANN ST, RAPID CITY, SD 57701-4679
(605) 718-3300
Mailing address
353 FAIRMONT BLVD, ATTEN CHRISTIE MSS, RAPID CITY, SD 57701-7375
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0810
SD
Other
Enumeration date
02/20/2012
Last updated
01/24/2013
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